| NPI | 1073968764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School (Licence: LA A 443558) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2019-07-11 |